Tan Tock Seng Hospital, Singapore.
J Clin Rheumatol. 2012 Mar;18(2):89-91. doi: 10.1097/RHU.0b013e318247c187.
We describe a 35-year-old Chinese woman with Behçet disease complicated by recurrent gastrointestinal flares. During admission for acute lower abdominal pain, a computed tomographic scan of the abdomen showed thrombosis of the left ovarian vein. She was treated with increased immunosuppressant and oral anticoagulant. Although she was not compliant to oral anticoagulant with her international normalized ratio frequently subtherapeutic, her symptoms abated and the thrombosis resolved. There has been only 1 reported case of a patient with Behçet disease presenting with postpartum ovarian vein thrombosis and pulmonary embolism and no reported case of Behçet disease with ovarian vein thrombosis occurring outside pregnancy and the puerperium. Ovarian vein thrombosis is a rare cause of abdominal pain that should be considered in patients with Behçet disease.
我们描述了一位 35 岁的中国女性，患有 Behçet 病并伴有反复发作的胃肠道炎症。在因急性下腹痛住院期间，腹部计算机断层扫描显示左侧卵巢静脉血栓形成。她接受了免疫抑制剂和口服抗凝剂的治疗。尽管她不遵守口服抗凝剂治疗，国际标准化比值经常低于治疗范围，但她的症状减轻，血栓溶解。只有 1 例 Behçet 病患者报告有产后卵巢静脉血栓形成和肺栓塞，没有报告 Behçet 病患者在妊娠和产褥期之外发生卵巢静脉血栓形成的病例。卵巢静脉血栓形成是腹痛的罕见原因，应考虑 Behçet 病患者。
